NPI 1023829074

Jennifer R Derendal, LPN

Practitioner Licensed Practical Nurse Myrtle Beach, SC

Practice location

Address: 606 Cattle Drive Cir, Myrtle Beach, SC 29588-3734
Phone: (603) 313-7740

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 54820 (SC)

Other Licensed Practical Nurse providers in South Carolina →

Registry record

NPI: 1023829074
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2025
Record last updated: 17 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.